Healthcare Provider Details

I. General information

NPI: 1912724766
Provider Name (Legal Business Name): BRYANNA SAKAYE FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BRYANNA METZ

II. Dates (important events)

Enumeration Date: 09/23/2024
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1355 N SCOTTSDALE RD STE 240
SCOTTSDALE AZ
85257-3594
US

IV. Provider business mailing address

8490 N 174TH LN
WADDELL AZ
85355-1400
US

V. Phone/Fax

Practice location:
  • Phone: 602-997-7041
  • Fax:
Mailing address:
  • Phone: 602-763-7051
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number256180
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: